Kulephera Kwambiri Kwa Tibial Tendon (Kulephera kwa Mitsempha ya Tibial)

Zamkati

• Kodi posterior tibial tendon dysfunction ndi chiyani?
• Kodi ndi zifukwa ziti zomwe zimayambitsa PTTD?
• Kodi zizindikiro za PTTD ndi ziti?
• Kodi PTTD imapezeka bwanji?
• Kodi mankhwala a PTTD ndi ati?
• Kuchepetsa kutupa ndi kupweteka
• Thandizo lamapazi
• Opaleshoni

Timaphatikizapo zinthu zomwe timaganiza kuti ndizothandiza kwa owerenga athu. Ngati mutagula maulalo omwe ali patsamba lino, titha kupeza ndalama zochepa. Nayi njira yathu.

Kodi posterior tibial tendon dysfunction ndi chiyani?

Matenda a posterior tibial tendon dysfunction (PTTD) ndimavuto omwe amachititsa kutupa kapena kung'ambika kwa tendon tibial tendon. Thupi lakumapeto kwa tibial limalumikiza imodzi mwa minofu ya ng'ombe ndi mafupa omwe ali mkati mwamiyendo.

Zotsatira zake, PTTD imayambitsa flatfoot chifukwa tendon siyitha kuthandizira chingwe cha phazi. Malinga ndi American Academy of Orthopedic Surgeons, flatfoot ndi pomwe phazi limagwa phazi limaloza chakunja.

PTTD imadziwikanso kuti wamkulu adapeza flatfoot. Madokotala amatha kuthana ndi vutoli popanda opaleshoni, koma nthawi zina opaleshoni imafunika kukonza tendon.

Kodi ndi zifukwa ziti zomwe zimayambitsa PTTD?

Matenda a posterior tibial amatha kuvulala chifukwa chakukhudzidwa, monga kugwa kapena kulumikizana mukamasewera masewera. Kugwiritsa ntchito tendon mopitirira muyeso kungayambitsenso kuvulala. Zochitika zomwe zimayambitsa kuvulala mopitirira muyeso ndi monga:

• kuyenda
• kuthamanga
• kukwera mapiri
• kukwera masitepe
• masewera olimbitsa thupi

PTTD ikuyenera kuchitika mu:

• akazi
• anthu azaka zopitilira 40
• anthu onenepa kwambiri kapena onenepa kwambiri
• anthu odwala matenda ashuga
• anthu omwe ali ndi matenda oopsa

Kodi zizindikiro za PTTD ndi ziti?

PTTD nthawi zambiri imachitika phazi limodzi, ngakhale nthawi zina imatha kuchitika pamapazi onse awiri. Zizindikiro za PTTD zikuphatikiza:

• ululu, makamaka kuzungulira mkati mwa phazi ndi akakolo
• kutupa, kutentha, ndi kufiira mkati mwamapazi ndi akakolo
• kupweteka komwe kumafalikira panthawi yogwira ntchito
• kuwongola phazi
• mkati kugubuduza mwendo
• kutembenuza zala zakumiyendo ndi miyendo

PTTD ikamapita, komwe kupweteka kumatha kusintha. Izi ndichifukwa choti pamapeto pake phazi lako limasunthika ndipo fupa lanu lachithende limasunthika.

Ululu tsopano umamveka kunja kwa bondo ndi phazi lanu. Kusintha kwa tendon tibial tendon kumatha kuyambitsa nyamakazi pamapazi anu ndi akakolo.

Kodi PTTD imapezeka bwanji?

Dokotala wanu ayamba pofufuza phazi lanu. Amatha kuyang'ana zotupa pambuyo pa tibial tendon. Dokotala wanu adzayesanso mayendedwe anu ndikusunthira phazi lanu mbali ndikukwera ndi kutsika. PTTD imatha kuyambitsa mavuto poyenda mbali ndi mbali, komanso zovuta zakusunthira zala zakumaso.

Dokotala wanu ayang'ananso mawonekedwe a phazi lanu. Adzafunafuna chipilala chomwe chagwa komanso chidendene chomwe chasunthira panja. Dokotala wanu amathanso kuwona zala zingati zomwe angawone kumbuyo kwa chidendene chanu mukaimirira.

Nthawi zambiri, chala chachisanu ndi theka la chala chachinayi chokha chimawonekera mbali iyi. Ku PTTD, amatha kuwona zoposa phazi lachinayi ndi lachisanu. Nthawi zina ngakhale zala zakumapazi zimawoneka.

Mwinanso mungafunike kuyimirira mwendo womwe ukukuvutitsani ndikuyesera kuimirira pazitsulo zanu. Nthawi zambiri, munthu yemwe ali ndi PTTD sangathe kuchita izi.

Madokotala ambiri amatha kudziwa kuti ali ndi vuto la tibial tendon pofufuza phazi, koma adotolo amathanso kuyitanitsa mayeso ena ojambula kuti atsimikizire kuti ali ndi vutoli ndikuthana ndi zina.

Dokotala wanu akhoza kuyitanitsa ma X-ray kapena ma scan a CT ngati akuganiza kuti muli ndi nyamakazi kumapazi kapena kumapazi. Kujambula kwa MRI ndi ultrasound kungatsimikizire PTTD.

Kodi mankhwala a PTTD ndi ati?

Matenda ambiri a PTTD amachiritsidwa popanda opaleshoni.

Kuchepetsa kutupa ndi kupweteka

Chithandizo choyambirira chimathandiza kuchepetsa kupweteka ndi kutupa ndikulola tendon yanu kuti ikhale chidendene. Kuyika ayezi kumalo opweteka ndikumwa mankhwala osagwiritsa ntchito anti-inflammatory (NSAIDs) kungathandize kuchepetsa kutupa ndi kupweteka.

Dokotala wanu akulangizaninso kuti mupumule ndikupewa zinthu zomwe zimapweteka, monga kuthamanga ndi zina zomwe zimakhudza kwambiri.

Thandizo lamapazi

Kutengera kukula kwa PTTD yanu, dokotala wanu atha kupereka upangiri wothandizira phazi lanu ndi akakolo. Kulimba pamiyendo kumatha kuthandizira kuthana ndi tendon ndikulola kuti ichiritse mwachangu. Izi ndizothandiza PTTD kapena PTTD wofatsa yemwe amapezeka ndimatenda am'mimba.

Gulani zopangira akakolo.

Ma orthotic achikhalidwe amathandizira kuthandizira phazi ndikubwezeretsa mwendo wabwinobwino. Ma Orthotic amathandiza PTTD yofatsa.

Gulani mafupa.

Ngati kuvulala kwa tendon tibial tendon yanu kuli kovuta, phazi lanu ndi akakolo angafunike kulephera kugwiritsa ntchito nsapato yayifupi yoyenda. Anthu amakonda kuvala izi kwa milungu isanu ndi umodzi kapena isanu ndi itatu. Amalola tendon kupeza zina zomwe nthawi zina zimakhala zofunikira kuchiritsa.

Komabe, izi zitha kupangitsanso kufooka kwa minofu kapena kufooka kwa minofu, chifukwa chake madotolo amalangiza pamilandu yayikulu.

Opaleshoni

Kuchita opaleshoni kungakhale kofunikira ngati PTTD ili yovuta ndipo mankhwala ena sanapambane. Pali mitundu ingapo ya maopareshoni, kutengera zomwe mukudziwa komanso kuchuluka kwa kuvulala kwanu.

Ngati mukuvutika kusuntha bondo lanu, njira yochitira opaleshoni yomwe imathandizira kutalikitsa minofu ya ng'ombe ingakhale njira. Zosankha zina zimaphatikizapo maopaleshoni omwe amachotsa malo owonongeka kuchokera ku tendon kapena m'malo mwa tibial tendon yotsika ndi tendon ina kuchokera mthupi.

Pazochitika zazikulu kwambiri za PTTD, opaleshoni yomwe imadula ndikusuntha mafupa otchedwa osteotomy kapena opareshoni yomwe imalumikiza ziwalo palimodzi itha kukhala yofunikira kukonza flatfoot.